[Minimally invasive and endoscopic methods in surgical treatment of patients with primary hyperparathyroidism: advantages and limitations].

Results of surgical treatment of 212 patients with primary hyperparathyroidism (PHPT) within 2007-2009 years were analyzed. In 183 patients have been performed the conventional approach with revision of all 4 parathyroid glands, in 29- using minimally invasive methods (in 18 - endoscopic operations, in 11 - targeted operations through mini incision). Multi-glandular disease was observed in 5.

["Incidental" thyroid carcinoma among patients in surgical treatment for nontumors thyroid desease].

Incidence of unexpected diagnosis of thyroid carcinoma among operations on benign thyroid surgical diseases (nodular goiter and Graves' disease) was studied in 608 patients within 2008-2009 years in specialized clinic of endocrine surgery. In 56 (9.2%) patients the "incidental" thyroid carcinoma including 43 (77%) - papillary microcarcinoma were diagnosed in histological investigations.

[Efficacy of surgical treatment of medullary thyroid carcinoma in patients with regional and distant metastases].

Results of surgical treatment of 93 primary patients with medullary thyroid carcinoma within 1995-2009 years, including 26 (28%) - with hereditary disease (MEN2 syndrome) were analyzed. The best long-term results were observed in group of noninvasive tumor without metastases at the time of operation (39% - clinical and biochemical recovery, 32% - clinical remission). No one patient with extrathyroid tumor invasion and regional/distant metastases has completely recovered.

[Differentiated thyroid cancer in the Ukraine: clinical experience with treatment of 2000 patients and current world-wide tendencies].

Principal moments of recent (2006) European and USA consensus for the management of patients with differentiated thyroid cancer (DTC) are described. The situation with treatment of DTC patients in the Ukrain was analyzed. It was established that preoperative cytological investigation and express-biopsy should be possible and reliable as well as adequate primary surgery.